Healthcare Provider Details

I. General information

NPI: 1700799426
Provider Name (Legal Business Name): JULIE A. TOWLES, DDS, MS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 BLUE HERON DR
YORKTOWN VA
23692-2970
US

IV. Provider business mailing address

304 BLUE HERON DR
YORKTOWN VA
23692-2970
US

V. Phone/Fax

Practice location:
  • Phone: 336-553-8985
  • Fax:
Mailing address:
  • Phone: 336-553-8985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIE ANNE TOWLES
Title or Position: PRESIDENT
Credential: D.D.S. M.S.
Phone: 336-553-8985